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Bushell A, Crespi BJ. The evolutionary basis of elevated testosterone in women with polycystic ovary syndrome: an overview of systematic reviews of the evidence. FRONTIERS IN REPRODUCTIVE HEALTH 2024; 6:1475132. [PMID: 39403367 PMCID: PMC11471738 DOI: 10.3389/frph.2024.1475132] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2024] [Accepted: 09/12/2024] [Indexed: 01/06/2025] Open
Abstract
Polycystic ovary syndrome (PCOS) exhibits high prevalence and heritability despite causing negative impacts on fertility and fecundity. Previous hypotheses have postulated that some PCOS-associated traits, especially above-average levels of testosterone, were associated with benefits in ancestral environments. As such, PCOS would represent, in part, a maladaptive extreme of adaptations related to relatively high testosterone. To evaluate this hypothesis, we conducted a series of systematic literature reviews on the associations of testosterone levels, and prenatal testosterone metrics, with measures of strength, robustness, muscularity, and athleticism in females. We also systematically reviewed the literature on associations of testosterone with dominance in females and reviewed archaeological evidence concerning female strength and muscularity and its correlates. The main findings were fivefold: (1) elevated testosterone levels were generally associated with higher strength, muscularity and athleticism in females; (2) females with PCOS showed notable evidence of increased strength, muscularity, and athleticism compared to controls; (3) females with higher testosterone levels exhibited clear evidence of high dominance, (4) despite evidence that higher testosterone is linked with higher bone mineral density in healthy females, PCOS was not clearly associated with this phenotype; and (5) archaeological evidence from osteology, and data from some current small-scale societies, indicated that females often exhibit substantial levels of muscularity. Overall, the hypothesis that relatively high levels of testosterone are associated with benefits to females in some contexts was largely supported. These results provide evidence for the "maladaptive extremes of adaptation" model, with implications for treatment of females with PCOS and for future research.
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Affiliation(s)
- Aiden Bushell
- Department of Biological Sciences, Simon Fraser University, Burnaby, BC, Canada
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Wang X, Han S, Hu Y, Zhang L, Zhang Y, Yang Z, Zhang X, Wang Z. Psychological profiles among people with HIV: A latent profile analysis and examination of the relationship with interpersonal personality. J Psychiatr Res 2024; 176:368-376. [PMID: 38944015 DOI: 10.1016/j.jpsychires.2024.06.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 06/10/2024] [Accepted: 06/24/2024] [Indexed: 07/01/2024]
Abstract
People living with HIV (PWH) often experience an increased vulnerability to psychiatric disorders as a result of social stigma and discrimination. This study utilized latent profile analysis on a sample of 3040 Chinese PWH to identify distinct psychological profiles. Furthermore, the study investigated the relationships between these profiles with interpersonal personalities, demographic characteristics, social variables and disease-related variables using a three-step regression (R3STEP). The findings from the latent profile analysis revealed that the psychological symptoms of PWH can be categorized into three distinct classes. Multinomial logistic regression analysis indicated that interpersonal personalities, region, sex, age, religious beliefs, marital status, occupation, monthly income, time of HIV infection diagnosis and transmission route were significant factors associated with the psychological profiles of PWH. These findings provide valuable insights for the development of individualized management strategies for PWH and contribute to a deeper understanding of the mechanisms underlying psychological symptoms of PWH.
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Affiliation(s)
- Xiaomeng Wang
- School of Nursing, Peking University, Beijing, 100191, China
| | - Shuyu Han
- School of Nursing, Peking University, Beijing, 100191, China.
| | - Yan Hu
- School of Nursing, Fudan University, Shanghai, 200032, China
| | - Lili Zhang
- Department of Nursing, Beijing Youan Hospital Affiliated with Capital Medical University, Beijing, 100069, China
| | - Yukun Zhang
- School of Nursing, Fudan University, Shanghai, 200032, China
| | - Zhongfang Yang
- School of Nursing, Fudan University, Shanghai, 200032, China
| | - Xu Zhang
- School of Nursing, Peking University, Beijing, 100191, China
| | - Zhiwen Wang
- School of Nursing, Peking University, Beijing, 100191, China.
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Blake KR. When fertile, women seek status via prestige but not dominance. Proc Natl Acad Sci U S A 2022; 119:e2205451119. [PMID: 36343265 PMCID: PMC9674267 DOI: 10.1073/pnas.2205451119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 09/02/2022] [Indexed: 11/09/2022] Open
Abstract
Biological predictors of human dominance are hotly contested, with far-reaching implications for psychological sex differences and the placement of men and women in the social hierarchy. Most investigations have focused on dominance in men and testosterone, with diminished attention paid to dominance in women and other biological mechanisms. Investigating biological influences on other routes to status attainment popular among women-such as via prestige in addition to dominance-have also been neglected. Here, I examined whether status seeking via prestige and via dominance covaried with fertility probability in a citizen science project spanning 14 countries and 4 world regions. Across 4,179 observations, participants tracked their menstrual cycle characteristics, motivation for prestige and dominance, dominance contest outcomes, and three domains of self-esteem. Self-esteem is predicted by status within a group and helps individuals navigate social hierarchies. Bayesian mixed models controlling for menstruation indicated that the motivation to obtain status via prestige but not dominance peaked when conception was most likely, as did dominance contest losses and two self-esteem domains. Fertility appears to reorient female psychology toward prestige-based strategies to success, enhancing women's desire for social capital through influence and admiration but not through fear, coercion, or intimidation. These insights fundamentally advance the understanding of the biological correlates of status seeking among women. They further suggest that fertility motivates not only mating competition but gaining rank and positive regard in social hierarchies.
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Affiliation(s)
- Khandis R. Blake
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, VIC 3010, Australia
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Wagels L, Radke S, Goerlich KS, Habel U, Votinov M. Exogenous testosterone decreases men's personal distance in a social threat context. Horm Behav 2017; 90:75-83. [PMID: 28263765 DOI: 10.1016/j.yhbeh.2017.03.001] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2016] [Revised: 02/18/2017] [Accepted: 03/01/2017] [Indexed: 10/20/2022]
Abstract
BACKGROUND Testosterone can motivate human approach and avoidance behavior. Specifically, the conscious recognition of and implicit reaction to angry facial expressions is influenced by testosterone. The study tested whether exogenous testosterone modulates the personal distance (PD) humans prefer in a social threat context. METHODS 82 healthy male participants underwent either transdermal testosterone (testosterone group) or placebo application (placebo group). Each participant performed a computerized stop-distance task before (T1) and 3.5h after (T2) treatment, during which they indicated how closely they would approach a human, animal or virtual character with varying emotional expression. RESULTS Men's PD towards humans and animals varied as a function of their emotional expression. In the testosterone group, a pre-post comparison indicated that the administration of 50mg testosterone was associated with a small but significant reduction of men's PD towards aggressive individuals. Men in the placebo group did not change the initially chosen PD after placebo application independent of the condition. However comparing the testosterone and placebo group after testosterone administration did not reveal significant differences. While the behavioral effect was small and only observed as within-group effect it was repeatedly and selectively shown for men's PD choices towards an angry woman, angry man and angry dog in the testosterone group. In line with the literature, our findings in young men support the influential role of exogenous testosterone on male's approach behavior during social confrontations.
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Affiliation(s)
- Lisa Wagels
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.
| | - Sina Radke
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany; JARA-Institute Brain Structure Function Relationship, Research Center Jülich and RWTH Aachen, Aachen, Germany
| | - Katharina Sophia Goerlich
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany
| | - Ute Habel
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany; JARA-Institute Brain Structure Function Relationship, Research Center Jülich and RWTH Aachen, Aachen, Germany
| | - Mikhail Votinov
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany; JARA-Institute Brain Structure Function Relationship, Research Center Jülich and RWTH Aachen, Aachen, Germany; Institute of Neuroscience and Medicine 10, Research Center Jülich, Jülich, Germany
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Cabral JCC, Tavares PDS, de Almeida RMM. Reciprocal effects between dominance and anger: A systematic review. Neurosci Biobehav Rev 2016; 71:761-771. [DOI: 10.1016/j.neubiorev.2016.10.021] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Revised: 10/23/2016] [Accepted: 10/24/2016] [Indexed: 12/18/2022]
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Enter D, Terburg D, Harrewijn A, Spinhoven P, Roelofs K. Single dose testosterone administration alleviates gaze avoidance in women with Social Anxiety Disorder. Psychoneuroendocrinology 2016; 63:26-33. [PMID: 26402923 DOI: 10.1016/j.psyneuen.2015.09.008] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2015] [Revised: 08/28/2015] [Accepted: 09/08/2015] [Indexed: 12/18/2022]
Abstract
Gaze avoidance is one of the most characteristic and persistent social features in people with Social Anxiety Disorder (SAD). It signals social submissiveness and hampers adequate social interactions. Patients with SAD typically show reduced testosterone levels, a hormone that facilitates socially dominant gaze behavior. Therefore we tested as a proof of principle whether single dose testosterone administration can reduce gaze avoidance in SAD. In a double-blind, within-subject design, 18 medication-free female participants with SAD and 19 female healthy control participants received a single dose of 0.5mg testosterone and a matched placebo, at two separate days. On each day, their spontaneous gaze behavior was recorded using eye-tracking, while they looked at angry, happy, and neutral facial expressions. Testosterone enhanced the percentage of first fixations to the eye-region in participants with SAD compared to healthy controls. In addition, SAD patients' initial gaze avoidance in the placebo condition was associated with more severe social anxiety symptoms and this relation was no longer present after testosterone administration. These findings indicate that single dose testosterone administration can alleviate gaze avoidance in SAD. They support theories on the dominance enhancing effects of testosterone and extend those by showing that effects are particularly strong in individuals featured by socially submissive behavior. The finding that this core characteristic of SAD can be directly influenced by single dose testosterone administration calls for future inquiry into the clinical utility of testosterone in the treatment of SAD.
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Affiliation(s)
- Dorien Enter
- Radboud University Nijmegen, Behavioural Science Institute (BSI), 6500 HE, Nijmegen, The Netherlands; Donders Institute for Brain, Cognition and Behaviour, 6525 EN, Nijmegen, The Netherlands; Leiden University, Institute of Psychology, 2300 RB, Leiden, The Netherlands.
| | - David Terburg
- Utrecht University, Department of Psychology, 3584 CS, Utrecht, The Netherlands; University of Cape Town, Department of Psychiatry & Mental Health, Cape Town 7925, South Africa
| | - Anita Harrewijn
- Leiden University, Institute of Psychology, 2300 RB, Leiden, The Netherlands; Leiden Institute for Brain and Cognition, 2300 RC, Leiden, The Netherlands
| | - Philip Spinhoven
- Leiden University, Institute of Psychology, 2300 RB, Leiden, The Netherlands; Leiden University Medical Center, Department of Psychiatry, 2300 RC, Leiden, The Netherlands
| | - Karin Roelofs
- Radboud University Nijmegen, Behavioural Science Institute (BSI), 6500 HE, Nijmegen, The Netherlands; Donders Institute for Brain, Cognition and Behaviour, 6525 EN, Nijmegen, The Netherlands
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